---
title: 4 Steps to Purposeful Patient Rounding
description: Reduce healthcare acquired conditions and learn 4 steps to purposeful patient rounding in healthcare organizations.
---

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# [4 Steps to Purposeful Patient Rounding](https://www.performancehealthus.com/blog/4-steps-to-purposeful-patient-rounding)

 Written by [Performance Health Partners](https://www.performancehealthus.com/blog/author/performance-health-partners) | February 3, 2023

**Fourteen** avoidable hospital acquired-conditions accounted for **48,771 adverse patient outcomes**, **3,219 deaths** and more than **$2 billion** in excess hospital costs in 2016, according to an IBM Watson Health study. 

## Favorable Patient Outcomes

In order to [reduce hospital-acquired conditions](https://www.performancehealthus.com/blog/the-impact-of-patient-safety-and-quality-of-care-programs)—one of the leading causes of readmission—it is important that healthcare organizations complete **effective and purposeful rounds**. (2)

> **Effective patient rounding** is defined as “an intentional act conducted with clear purpose for the patients’ benefit” (3).

Research has shown organizations that have successfully implemented [patient rounding in hospitals](https://www.performancehealthus.com/blog/rounding-in-hospitals) and other types of healthcare organizations have **significant decreases in adverse patient events**, as well as [high levels of improvement](https://journals.lww.com/journalpatientsafety/Fulltext/2022/01000/The_Effects_of_Interdisciplinary_Bedside_Rounds_on.16.aspx) in patient and staff satisfaction. (4)

Hourly patient rounding in a study of 14 hospitals revealed the following improvements (5):

- **12% increase** in patient satisfaction scores.
- **52% reduction** in patient falls.
- **37% reduction** in light use.
- **14% decline** in skin breakdowns.
- In addition, one hospital measured a **20% reduction** in the distance walked each day by the nursing staff.

However, it can be challenging for healthcare organizations to maintain organized rounding data, particularly when [using Excel or tracking on paper](https://www.performancehealthus.com/blog/what-to-look-for-in-an-incident-reporting-software). **Difficulty in tracking and performing regular patient rounds** can also negatively impact the patient experience. (6)

## 4 Simple Strategies for Patient Rounding

Fortunately, there are several steps that healthcare organizations can take to improve efficiency and make patient rounding more purposeful:

### 1. Implement Purposeful [Rounding Software](https://www.performancehealthus.com/rounding-tools)

When organizations round on patients correctly, rounding is an incredibly useful tool for data collection and event reporting. With the [implementation of a software solution](https://www.performancehealthus.com/rounding-tools), healthcare organizations can improve their performance, accountability, time, and efficiency.

**Benefits of implementing a rounding software** include:

- - **Streamlined data entry** for faster, more efficient rounding. With a well-organized rounding process, healthcare teams can reduce time spent on administrative functions and [spend more time focusing on patient care](https://www.performancehealthus.com/lp-5-steps-to-improve-patient-experience).
    - **Direct communication** of rounding data to other team members and supervisors. When all departments and teams have access to patients’ statuses in real-time, healthcare teams can enable informed communication to better assess care. (7)
    - Information can be easily analyzed and tracked over time with custom dashboards and analytics. This allows care teams to see the bigger picture, measure key indicators, and track progress over time.

> Using patient rounding technology has **improved patient satisfaction scores in 59% of healthcare organizations**. **37% of organizations** report benefiting from rounding technology’s immediate feedback and accountability and compliance benefits. (8)

### 2. Build a positive, patient-centric culture.

Encouraging a positive, patient-centric culture in care teams plays a large role in yielding favorable patient outcomes. One study found that five months after the implementation of a patient-centric medical rounding process, **overall patient satisfaction scores increased by 71%**. (8)

Positivity in other aspects of work, such as relationships with coworkers and managers, also has a strong influence on the quality of care delivered to patients.

> When healthcare organizations are committed to building a positive, patient-centric culture, team members can carry out their rounding and patient facing duties more effectively. (9)

Purposeful rounding promotes a **culture of safety** through (10):

- - Enforcing a safe work environment
    - Checking all equipment
    - Eliminating and/or reducing behavior processes that could result in harm
    - Providing a focus on patient safety and patient assistance
    - Identifying issues and deficiencies before they develop into safety events
    - Demonstrating a commitment to change
    - Reducing patient falls, infections, and pressure ulcers

### 3. Increase workforce engagement.

**Employee satisfaction** is just as important as patient rounding. When [healthcare organizations increase engagement](https://www.performancehealthus.com/blog/how-incident-reporting-in-healthcare-improves-employee-engagement) by conducting executive rounds of caregiver teams, it helps leadership **understand concerns** and take appropriate action to **improve employee satisfaction**. (10)

In addition to addressing concerns and identifying areas of improvement, rounding goes a long way in promoting **effective communication and transparency** among a care team.

> Rounding has been found to be the **single most effective tool** to make employees feel appreciated and heard. (10)

### 4. Identify areas of improvement.

Healthcare organizations that round on patients purposefully will inevitably discover issues or areas of improvement during the process. A rounding software helps organizations ensure not only that **issues are corrected efficiently**, but also that **data can be tracked over time to improve processes in the future.** (10)

Continuously identifying areas of improvement is important for all types of healthcare organizations to ensure patient safety and improvement in quality outcomes.

## Conclusion

**Rounding is an important tool** in the patient journey and can dramatically improve organizational efficiency when performed effectively. While there are obstacles to effective rounding, **implementing software solutions, creating positive environments in the workplace, increasing workforce engagement, **and **identifying areas of improvement** are four central ways to combat challenges and improve patient satisfaction.

 

References:  
1-Hospital-Acquired Conditions lead to avoidable cost and excess deaths. IBM Watson Health. Retrieved from[ https://www.revcycleintelligence.com/news/hospital-acquired-conditions-increase-hospital-costs-by-2b](https://www.revcycleintelligence.com/news/hospital-acquired-conditions-increase-hospital-costs-by-2b)  
2- Reducing Hospital Acquired Infections with Rounding. (2018). Retrieved from [https://www.modernhealthcare.com/article/20180226/SPONSORED/180229939/reduce-hospital-acquired-infections-with-rounding](https://www.modernhealthcare.com/article/20180226/SPONSORED/180229939/reduce-hospital-acquired-infections-with-rounding).  
3- The value of purposeful rounding. (2015, November 10). Retrieved from [https://www.myamericannurse.com/value-purposeful-rounding/](https://www.myamericannurse.com/value-purposeful-rounding/)  
4- Hourly rounding: perspectives and perceptions of the frontline nursing staff. (2014). Retrieved from [https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.12114](https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.12114).  
5- Nursing: Quality and Safety. Stanford Healthcare. Retrieved from [https://stanfordhealthcare.org/health-care-professionals/nursing/quality-safety/purposeful-rounding.html](https://stanfordhealthcare.org/health-care-professionals/nursing/quality-safety/purposeful-rounding.html).  
6- Leighty, John. "Hourly Rounding Dims Call Lights". www.Nurse.com, December 4, 2006. Meade, Christine M. et al. "Effects on Nursing Rounds on Patients' Call Light Use, Satisfaction, and Safety". American Journal of Nursing, September 2006. 106 (9): 60.  
7- (2018, March 23). Using Patient Rounding Tools to Enhance the Patient Experience. Retrieved from [https://patientengagementhit.com/news/using-patient-rounding-tools-to-enhance-the-patient-experience](https://patientengagementhit.com/news/using-patient-rounding-tools-to-enhance-the-patient-experience)  
8- Adam Cherrington and Colin Buckley. Digital Rounding 2018- A First Look at Digital Rounding Vendor Performance. June 12, 2018. Retrieved from [https://klasresearch.com/report/digital-rounding-2018/1327](https://klasresearch.com/report/digital-rounding-2018/1327).  
9- Studer Group. (2007). Hourly Rounding Supplement. Retrieved from https://www.mc.vanderbilt.edu/root/pdfs/nursing/hourly_rounding_supplement-studer_group.pdf.  
10- 5 Benefits of Implementing a Rounding Solution. Sentact. Retrieved from [http://sentact.com/2018/07/26/5-benefits-of-implementing-a-rounding-solution/](http://sentact.com/2018/07/26/5-benefits-of-implementing-a-rounding-solution/). 

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